Provider Demographics
NPI:1437317476
Name:MEADOW BEHAVIORAL ASSOCIATES LLC
Entity Type:Organization
Organization Name:MEADOW BEHAVIORAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPT OF INTEGRATION
Authorized Official - Prefix:MS
Authorized Official - First Name:FRANCINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-570-4492
Mailing Address - Street 1:3635 QUAKERBRIDGE RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-1247
Mailing Address - Country:US
Mailing Address - Phone:609-586-1777
Mailing Address - Fax:609-586-0058
Practice Address - Street 1:2277 STATE HIGHWAY 33
Practice Address - Street 2:SUITE 408
Practice Address - City:HAMILTON SQUARE
Practice Address - State:NJ
Practice Address - Zip Code:08690-1700
Practice Address - Country:US
Practice Address - Phone:609-584-2299
Practice Address - Fax:609-584-2099
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FINCH HEALTH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA076274002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty